Implementing mobile text messaging on glycemic control in patients with diabetes mellitus.

IF 1.2 4区医学

Journal of the American Association of Nurse Practitioners Pub Date : 2024-10-01 DOI:10.1097/JXX.0000000000001001

Jan Tuzon, David C Mulkey

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引用次数: 0

Abstract

Background: Uncontrolled blood glucose may lead to serious complications in patients with type two diabetes mellitus (T2DM). Patients may not have the support, motivation, or encouragement to adhere to the lifestyle changes necessary to control their T2DM.

Local problem: More than 75% of the primary care clinic's patients are diagnosed with T2DM, with most patients at the practice site having an average hemoglobin A1c (HbA1c) level of 8.5%. The primary care clinic did not use text messaging to disseminate diabetes self-management education and support (DSMES) as outlined in Standard 4 of the American Diabetic Association's (ADA) clinical practice guideline.

Methods: This evidence-based quality improvement project was conducted in a rural outpatient primary care clinic to determine whether implementing the ADA's 2022 National Standards for DSMES using text messaging would affect HbA1C levels among adult patients with T2DM.

Interventions: Patients were sent weekly text messages over a 12-week period. Text messages contained information promoting self-care, tips about healthy diet, exercise reminders, instructions about proper blood glucose monitoring, and reminders about medication adherence.

Results: A total of 160 patients were included. A paired-sample t -test showed a reduction in HbA1c levels after the intervention from baseline (M = 7.53, SD = 1.72) to postimplementation (M = 6.91, SD = 0.89), t (159) = 11.88, p = .001.

Conclusion: Based on the results, implementing the ADA's National Standards for DSMES Standard 4 may affect HbA1c levels in this population.

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移动短信对糖尿病患者血糖控制的影响。

背景：血糖得不到控制可能会导致二型糖尿病（T2DM）患者出现严重的并发症。患者可能得不到支持、动力或鼓励，无法坚持改变生活方式以控制 T2DM。当地问题：75% 以上的初级保健诊所患者被诊断为 T2DM，诊所内大多数患者的平均血红蛋白 A1c（HbA1c）水平为 8.5%。该初级保健诊所没有按照美国糖尿病协会（ADA）临床实践指南标准 4 的规定使用短信传播糖尿病自我管理教育和支持（DSMES）：该循证质量改进项目在一家农村门诊初级保健诊所开展，旨在确定使用短信实施美国糖尿病协会 2022 年糖尿病自我管理教育和支持国家标准是否会影响 T2DM 成年患者的 HbA1C 水平：干预措施：在为期 12 周的时间内，每周向患者发送短信。短信内容包括促进自我保健的信息、有关健康饮食的提示、运动提醒、有关正确监测血糖的指导以及有关坚持用药的提醒：结果：共纳入 160 名患者。配对样本 t 检验显示，干预后 HbA1c 水平从基线（M = 7.53，SD = 1.72）降低到实施后（M = 6.91，SD = 0.89），t (159) = 11.88，p = .001：根据研究结果，实施 ADA 的《DSMES 国家标准》标准 4 可能会影响该人群的 HbA1c 水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Association of Nurse Practitioners Nursing-General Nursing

自引率

16.70%

发文量

172

期刊介绍： The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.